Individual
RENA MICHELLE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
16502 N DALE MABRY HWY, TAMPA, FL 33618-1325
(727) 732-4305
Mailing address
16502 N DALE MABRY HWY, TAMPA, FL 33618-1325
(727) 732-4305
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MT4608
FL
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
07/10/2019
Last updated
07/07/2023
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